Fillable Form Abc-41 - Kansas Department Of Revenue (Page 2 of 2) in pdf

Instructions:

1. Complete this form, including signature and date. Provide a completed form for each request. (You may make

copies of this form.)

2. The department will provide records upon a direct match. If you have not provided enough information to

establish a direct match, the department will contact you requesting additional information.

3. Mail the request form to:

Kansas Department of Revenue

Record Requests

915 SW Harrison Street

Topeka, KS 66625-3570

4. If the fee is not listed, the department will notify you of the fee(s) due. However, a typical request, consisting of

a copy of a license and owner information, results in a fee of $5.25. All fees should be paid by check or money

order. Make the check or money order payable to the “Kansas Department of Revenue”. Payment is required

prior to the release of the requested records. No refunds will be issued for requests made in error, or requests for

records not on file.

Fees:

The Kansas Department of Revenue has several fees that are fixed by the Secretary of Revenue, pursuant to K.S.A.

74-2022. Some of the fixed record fees include but are not limited to: Drivers License or Vehicle Title and

Registration records, copies of tax returns, records maintained within the Kansas computer assisted mass appraisal

system (KS CAMA), and Automobile Dealer Licensing records. The appropriate request forms, for the above

mentioned record types, are available at

The following fee structure applies only to those records that do not have fixed fees (see above):

Copies (per page)

$0.25

Mail charge (first 5 pages)

$0.40

(additional 5-page increments)

$0.25

Faxed copy

$0.65

Search charge (staff time per hour)

$25.00

Computer time (staff time per hour)

$60.00

Copy & Search Charge Fees: The 25-cent copy charge is a per page charge which is principally assessed to

reimburse the agency for routine costs of retrieving records which are requested with specificity and are held within

the agency's current file system. It does not include the cost of more than one-tenth of an hour of research or access

time required to determine the location of records not readily accessible, to determine what specific records meet

request criteria, to segregate public from non-public information, to access records from archives and other similar

necessary services. For such services in providing access or copies, the $25 per hour search charge may be assessed,

to be billed by the tenth of an hour.

Mail Charge Fee: The mail charge may be assessed in addition to the copy charge when mail service is requested.

For up to and including the first five pages, 40 cents may be charged, plus an additional 25 cents for up to and

including each additional five pages. If air express delivery is requested, you must provide a prepaid envelope or an

account number for such delivery.

Fax Fee: The Fax charge of 65 cents per page includes those services required in copying a record, in addition to

domestic fax transmission costs. No additional copy charge is assessed.

Computer Time Fee: The computer time charge of $60 per hour, also billed in tenths, is for staff time, including

associated computer connect and processing time, for providing copies of records in available electronic format or

for production of special computer-generated reports. The Official Custodian will be the sole judge of the ability of

the agency to comply with any request for records in specific electronic format or the ability to produce any special

computer-generated reports.

The agency will provide an estimate of fees to be charged prior to providing records, and where such estimate is

provided, fees actually charged shall not exceed such estimate. The agency reserves the right to require any

estimated charge for access to or copies of records be received before work is performed to produce the records in

order to insure payment.

ABC-41

Rev. 07/11

Rev. 10/12

Form Abc-41 - Kansas Department Of Revenue Page 2

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